Individual
DR. HYON SOO HAROLD KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2230 NW PETTYGROVE ST, STE 120, PORTLAND, OR 97210-2659
(503) 444-7676
(971) 319-6647
Mailing address
2230 NW PETTYGROVE ST, STE 120, PORTLAND, OR 97210-2659
(503) 444-7676
(971) 319-6647
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
MD24993
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022701
—
OR
Enumeration date
02/02/2007
Last updated
03/07/2016
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